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EVE R E T T PUBLIC WORKS REVIEW WORKSHEET <br /> WASHINGTON <br /> PROJECT ADDRESS: 3700 FEDERAL AVE PORTABLE 3 Permit#: B2402-043 <br /> DESCRIPTION OF WORK: NEW PORTABLE#3,FOUNDATION PAD,WELCOME RAMP AND LANDING <br /> PW Reviewer to select all that apply below: <br /> Utility Permits (Note:Permit Technicians to Create Utility Permit for Sewer, Water,Fire,and Irrigation,as selected below) <br /> SANITARY SEWER: DOMESTIC WATER SERVICE:(Attach Calculation&Cost Est.) <br /> ❑ New Connection to main plus connections to building ❑ New Connection,Size - 0 Per Cost Estimate <br /> El Alteration El Meter Only,Size_ -❑Per Cost Estimate <br /> El Repair El Water System Development Fee Total:$ <br /> ❑ Cap-off,quantity El Sewer System Development Fee Total:$ <br /> ❑ Reconnect' to stub ❑ Wa -r Service Line(behind meter),Size <br /> El Back er Valve ❑ -.ckflow Prevention(Outside Building):El RPBA ❑DCVA <br /> • N REQUIRED / NOT REQUIRED <br /> Explanation/Utility Permit# Explanation/Utility Permit# <br /> IRRIGATION SERVICE:(Not Including Cost Estimates) FIRE SERVICE:(Attach Cost Estimate/Request for Reference) <br /> ❑ New Connection,Size El New Connection,Size -❑ Per Cost Estimate <br /> O Meter Only,Size ❑ %"D ect Meter Only,Service Size <br /> ❑ Water Sy tem Development Fee Total:$ ❑ B flow Prevention(Outside Building):❑ DCDA <br /> ❑ Backfl Prevention(Outside Building):❑DCVA OT REQUIRED <br /> ® NO REQUIRED Explanation/Utility Permit# <br /> planation/Utility Permit# <br /> WATER DEPART T COST ESTIMATE NEEDED-(/f yes,PW Reviewer to send cost estimate request to Water Department) <br /> ❑ Yes,Quan ' ,See attached for reference. <br /> ® NOT R UIRED <br /> Plumbi g Permits e:Permit Technicians to add all items selected below to Plumbing Permit for items inside building only) <br /> Backflow Prev ion(Inside Building): ❑DCVA(for Domestic service) ❑ RPBA(for Domestic service) ❑DCDA(for Fire service) <br /> ® NOT R UIRED <br /> Building Permits(Note:Permit Technicians to ad all items selected belo ociat Building Permit) <br /> STORMWATER SYSTEM DEVELOPMENT FEES: TRAFFIC MITIGATI N FEES: <br /> ® YES,®See Attached for calculations/cr dit ❑YES,Traffic itigation Total:$0.00 <br /> To be added on PW To be added on B2402-043 ❑S Attached for calculations/credit <br /> Quantity charged OSF Quantity charged 1187SF ® NO EQUIRED <br /> QTY is❑Ground only❑all surfaces QTY is❑ Roof only®all surfaces <br /> $0.00 $354.68 <br /> ❑ NOT REQUIRED <br /> Additional Checklists: <br /> ADDRESS LETTER REQUIRED? (If yes w assigned address),print out dress Letter from TRAKiT Print Menu and include) <br /> El YES—TYPE:❑SFR El DUPLEX ❑ADU ❑INFILL DWELLING ❑MULTI-FAMILY ❑COMMERCIAL <br /> ❑See Attached Letter,2 copies(Permit Techs to issue one copy to applicant with permits,scan one copy to PWClerical@everettwa.gov) <br /> El Digital copy attached to permit record,Permit# <br /> ❑Saved to Address Folder in Development Tech File <br /> ® NOT REQUIRED <br /> FIRE SPRINKLERS REQUIRED? <br /> ❑ YES Type <br /> ® NOT REQUIRED <br /> Reason: <br /> PUBLIC WORKS PERMIT REQUIRED? <br /> ❑ YES,Permit#PW <br /> El Stormwater NPDES Tab Completed in TRAKiT 0 ADA Tab Completed in TRAKiT ❑Inspections Added in TRAKiT <br /> ® NOT REQUIRED <br /> Worksheet Completed By: 7eltite 5Z l99&t46t2 Date:02262024 <br /> Worksheet Reviewed By:,464I4P9age Date:0212612024 <br />